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[缓黄分枝杆菌淋巴结炎:两例病例报告]

[Mycobacterium lentiflavum lymphadenitis: two case reports].

作者信息

Ruiz Del Olmo Izuzquiza Ignacio, Monforte Cirac María L, Bustillo Alonso Matilde, Burgués Prades Pedro, Guerrero Laleona Carmelo

机构信息

Servicio de Pediatría, Hospital Ernest Lluch Martín, Calatayud, Zaragoza, España.

Servicio de Microbiología, Hospital Universitario Miguel Servet, Zaragoza, España.

出版信息

Arch Argent Pediatr. 2016 Oct 1;114(5):e329-32. doi: 10.5546/aap.2016.e329.

Abstract

Lymphadenitis is the most common clinical feature in nontuberculous mycobacterium infection in immunocompetent children. We present two case reports of M. lentiflavum lymphadenitis diagnosed in a tertiary hospital in the last 10 years. Routine tests were performed after persistent adenopathy, and a sample for culture was obtained, being positive for this microorganism. Both patients received oral antibiotics during several weeks. Case 1 needed complete excision after five months of treatment, whilst Case 2 was cured by medical therapy. M. lentiflavum is considered, among the newly described nontuberculous mycobacterial species, an emergent pathogen in our environment. It has its own microbiological and clinical characteristics, different from the rest of nontuberculous mycobacteria. Case reports are limited in the literature since the infection was described for the first time in 1997.

摘要

淋巴结炎是免疫功能正常儿童非结核分枝杆菌感染最常见的临床特征。我们报告了过去10年在一家三级医院诊断出的两例缓黄分枝杆菌淋巴结炎病例。在持续性淋巴结肿大后进行了常规检查,并获取了培养样本,该微生物检测呈阳性。两名患者均接受了数周的口服抗生素治疗。病例1在治疗5个月后需要进行完整切除,而病例2通过药物治疗治愈。在新描述的非结核分枝杆菌物种中,缓黄分枝杆菌被认为是我们环境中的一种新兴病原体。它具有自身的微生物学和临床特征,与其他非结核分枝杆菌不同。自1997年首次描述这种感染以来,文献中的病例报告有限。

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